Organization Active NPI

Steven T. Elkhal, DMD, PS

  • Endodontics
  • Camas, WA
National Provider Identifier
1568754265
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DE60215887 Issued in WA
Legal business name
STEVEN T. ELKHAL, DMD, PS
Practice address
19301 SE 34TH St
Suite 101
Camas, WA 98607-8881
Phone
(360) 884-5206
Fax
(360) 817-2717
NPI assigned
May 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Steven Elkhal, DMD
Title
Officer/Owner
Phone
(503) 724-3245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X DE60215887 WA Primary

Addresses

Primary practice location

19301 SE 34TH St
Suite 101
Camas, WA 98607-8881

Mailing address

19301 SE 34TH St
Suite 101
Camas, WA 98607-8881
Phone (360) 884-5206

Other names 1

  • Endodontics Limited Doing business as

National Provider Directory

National Provider Directory

Locations

19301 SE 34th St
Ste 101
Camas, WA 98607
Phone (360) 369-6420

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305158400000",
    "number": "1568754265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19301 SE 34TH ST",
            "address_2": "SUITE 101",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078881",
            "telephone_number": "360-884-5206",
            "fax_number": "360-817-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 SE 34TH ST",
            "address_2": "SUITE 101",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078881",
            "telephone_number": "360-884-5206",
            "fax_number": "360-817-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN T. ELKHAL, DMD, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A",
        "authorized_official_last_name": "ELKHAL",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OFFICER/OWNER",
        "authorized_official_telephone_number": "503-724-3245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE60215887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontics Limited",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Camas, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.